Billing code 65880: Adhesion lysisMedicare rate & RVUs in Nevada
An ophthalmologist surgically releases synechiae in the eye’s anterior segment, with or without iridectomy, when adhesions require operative treatment.
CMS doesn’t publish an office rate for 65880 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 65880 covers
An ophthalmologist uses an intraocular surgical technique to release synechiae, abnormal adhesions involving structures in the eye’s anterior segment. These adhesions may follow inflammation, trauma, or prior surgery and can interfere with normal anatomy or function. The procedure is generally performed in an operating room or other surgical facility; an iridectomy may be performed as part of the service.
Choose this code for surgical lysis of anterior segment synechiae, rather than adhesions classified as other than synechiae or adhesions treated by laser. The operative report should identify the adhesions and their location, document the surgical release, and note any iridectomy and laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
65880 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $570.20 |
How the 65880 rate is calculated
Each of 65880’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 65880
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.15Practice expense 8.38Malpractice 0.64
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 65880
65880 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65880
Adhesion lysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 65880
Adhesion lysis
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
65880 without 50 · national facility
$573.49
Adhesion lysis
65880-50 · Bilateral: 150%
$860.24
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
65880 compared with similar codes
Compare codes
65880 vs 65865 vs 65875 vs 65860: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 65865Eye adhesion lysis
- Use 65880 for synechiae. Code 65865 addresses anterior segment adhesions other than synechiae.
- 65875Eye adhesiolysis
- Code 65875 is for extensive lysis of anterior segment adhesions other than synechiae; 65880 is for synechiae.
- 65860Laser adhesion release
- Code 65860 describes laser severing of anterior segment adhesions. Code 65880 is the surgical lysis code for synechiae.
65880 billing questions
How does 65880 differ from 65875?
65880 is for surgical release of anterior segment synechiae. Codes 65865, 65870, and 65875 address anterior segment adhesions other than synechiae, with distinctions within that group.
Can an iridectomy be part of the service?
Yes. The service includes lysis with or without iridectomy; document the iridectomy when performed.
How should bilateral treatment be reported?
CMS identifies this as a bilateral procedure payable with modifier 50 at 150%. Document treatment of both eyes.
What documentation supports the code?
Document the synechiae, their anterior segment location, the surgical release performed, laterality, and any iridectomy.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.
Is assistant-at-surgery payment available?
CMS applies a statutory restriction, so an assistant at surgery is not paid for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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